摘要
脾脏占位病变少见,本文报告19例脾脏占位病变,其中良性病变15例(脾囊肿3例、良性肿瘤5例、结核3例、脓肿4例),恶性肿瘤4例,均经手术及病理证实。因其临床表现无特异性,易漏诊、误诊,本组19例仅5例术前获得确诊。治疗以手术为主,并配合相应的全身治疗。文内还就脾脏占位病变的病理类型及临床特点加以讨论。
Nineteen patients with splenic space occupying lesion have been reviewed. There were 15 cases with benign diseases and 4 cases with malignant diseases in this group. The splenic space occupying lesion includes splenic cyst, benign tumor, malignant tumor, tuberculosis and abscess etc. In this group,definite diagnosis was only made in 5 cases before surgery. The disease is easy to be misdiagnosed, because of their non-specificity of clinical manifestation. Splenic occupying lesion should be treated by surgery and subsidiary therapy. In addition, the pathologic types and clinical characteristics of splenic space occpying lesions have been discussed in this article.